Our family practice billing services extend to general behavioral health, therapy services, psychiatric services, skilled nursing, home visits, and assisted living. Effective billing procedures for family practice services are crucial for timely reimbursements and financial stability
Let us streamline your billing process and enhance your practice’s revenue with our expert services!
The financial health of your family practice is closely linked to efficient billing and prompt account reimbursement, which are key components of the revenue cycle management process. Our family practice billing services reduce coding errors, address denied claims swiftly, and ensure that your revenue cycle remains smooth and optimized.
If you provide services to Med Billing patients, it’s crucial to understand that consultation CPT codes 90241 to 99248 are accepted by commercial payers but will face denials with Medicare.
For family practitioners conducting office visits and making same-day surgical decisions, we use modifier 57. This essential step ensures you receive the reimbursement you are entitled to for those surgical decisions.
Common codes in family practice include 99202-99205 and the established codes 99212-99215. According to CMS guidelines, the 99213 code can be added for stable chronic conditions.
Additionally, when utilized correctly, E&M modifiers 24, 25, and 57 can lead to 100% reimbursement for additional services rendered alongside office visits. We significantly enhance your revenue by up to 35% with the accurate and precise use of these codes and modifiers.
Inaccurate coding, incomplete documentation, or failure to follow payer guidelines can lead to high denial rates. These not only delay payments but also increase administrative burdens.
We systematically handle claim denials using our IMMP process, which stands for Identify, Manage, Monitor, and Prevent. Initially, we determine the causes of claim denials. Next, we appeal these denials to secure payment from insurers. Finally, we work on minimizing future denials by refining our processes and providing staff retraining.
With the increasing number of high-deductible health plans (like HSAs, catastrophic plans, EPOs, PPOs, and marketplace plans), practices often struggle to collect payments from patients. This can lead to cash flow problems and requires effective patient communication and collection strategies.
Our family practice billing services ensure patients understand their financial responsibilities upfront, breaking down complex insurance terms and deductibles, so they know what to expect. Our advanced software tracks patient balances and automates reminders, ensuring consistent follow-up.
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